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目的探讨针对肋骨骨折三种不同固定方法的护理措施以及体会。方法结合天津市东丽区东丽医院2011年5月-2016年5月,共治疗多发肋骨骨折患者148例,根据损伤类型及程度給予三种不同固定方法以及不同的护理措施。结果以上患者经过治疗和护理,全部康复出院。结论胸部外伤中多发肋骨骨折的患者,以胸带包扎为基础采用三种不同的方法固定胸廓有效的固定肋骨骨折断端、恢复和保持胸廓的稳定性达到减轻患者胸痛的目的具体包括单独胸带或胸带+垫包扎、胸带包扎+粘贴胸部护板和胸带包扎+肋骨切开内固定。从护理角度对比三种胸廓固定方法的优、缺点和护理特点并且对在护理过程中遇到的问题和需要注意的事项进行了经验总结,对提高治愈率,促进疾病康复方面有良好的效果。
Objective To discuss the nursing measures and experiences of three different fixation methods for rib fractures. Methods Tiaoli District, Tianjin Dongli Hospital from May 2011 to May 2016, a total of 148 cases of patients with multiple fractures of the ribs, according to the type and extent of injury to give three different fixation methods and different nursing interventions. Results The above patients after treatment and care, all discharged. Conclusion Thoracic trauma in patients with multiple fractures of the ribs, chest banding based on the use of three different methods to fix the thoracic effective fixed fracture of the rib fractures, restore and maintain the stability of the thorax to reduce chest pain in patients with the purpose of including a separate chest strap Or chest band + padding, chest bandaging + paste chest guard and chest bandaging + rib incision and internal fixation. The advantages and disadvantages of three kinds of thoracic fixation methods and their nursing features are compared from the nursing point of view. Experiences on the problems encountered during the nursing process and matters needing attention are summarized, which have good effects on improving the cure rate and promoting the rehabilitation of diseases.